7 Alaska Admin. Code § 110.205

Current through September 25, 2024
Section 7 AAC 110.205 - EPSDT screening services
(a) To be covered under 7 AAC 105 - 7 AAC 160, an EPSDT screening must be performed by one or more of the following providers enrolled under 7 AAC 105 - 7 AAC 160:
(1) a physician;
(2) a licensed or certified health care practitioner who performs a screening under the supervision of a physician, if the health care practitioner may perform screenings under the health care practitioner's scope of license or certification;
(3) the department;
(4) a tribal health program;
(5) an advanced practice registered nurse;
(6) a rural health clinic or federally qualified health center;
(7) a municipal health department;
(8) a school district.
(b) To be covered under 7 AAC 105 - 7 AAC 160, an EPSDT screening must include
(1) a comprehensive medical screening that meets the minimum recommendations of the Bright Futures/American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care, adopted by reference in 7 AAC 160.900, with additional screenings performed as medically necessary;
(2) a dental screening that meets the minimum recommendations of the American Academy of Pediatric Dentistry's Recommendations for Pediatric Oral Health Assessment, Preventive Services, and Anticipatory Guidance/Counseling, and supporting information of the American Academy of Pediatric Dentistry's Guideline on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatments for Infants, Children, and Adolescents, adopted by reference in 7 AAC 160.900;
(3) a vision screening that includes a referral to a vision care services provider at three years of age and annually thereafter; if medically necessary, the department will pay for
(A) more frequent examinations by a vision care services provider; or
(B) a referral to a vision care services provider before the child is three years of age;
(4) a hearing screening and, if medically necessary, referral for diagnosis and treatment of defects in hearing; and
(5) lead screenings at 12 months of age and 24 months of age.

7 AAC 110.205

Eff. 2/1/2010, Register 193; am 5/11/2012, Register 202; am 5/1/2016, Register 218, July 2016; am 9/1/2017, Register 223, October 2017; am 4/24/2020, Register 234, April 2020

Authority:AS 47.05.010

AS 47.07.030

AS 47.07.040